Ear Sciences Centre, The University of Western Australia, Nedlands, WA.
Ear Science Institute Australia, Nedlands, WA.
J Speech Lang Hear Res. 2018 Jul 13;61(7):1831-1849. doi: 10.1044/2018_JSLHR-H-16-0397.
This review examined (a) the current evidence from studies on teleaudiology applications for rehabilitation of adults with hearing impairment with hearing aids and (b) whether it is sufficient to support the translation into routine clinical practice.
A search strategy and eligibility criteria were utilized to include articles specifically related to hearing aid fitting and follow-up procedures that are involved in consultations for the rehabilitation of adults, where the service was provided by the clinician by teleaudiology. A search using key words and Medical Subject Headings (MeSH) was conducted on the main electronic databases that index health-related studies. The included studies were assessed using validated evaluation tools for methodological quality, level of evidence, and grade recommendations for application into practice.
Fourteen studies were identified as being within the scope of this review. The evaluation tools showed that none of these studies demonstrated either a strong methodological quality or high level of evidence. Analysis of evidence identified 19 activities, which were classified into service outcomes categories of feasibility, barriers, efficiency, quality, and effectiveness. Recommendations could be made regarding the (a) feasibility, (b) barriers, and (c) efficiency of teleaudiology for the rehabilitation of hearing loss with hearing aids.
This review provides up-to-date evidence for teleaudiology hearing aid services in new and experienced hearing aid users in different practice settings. Findings direct future research priorities to strengthen evidence-based practice. There is a need for further studies of many aspects of teleaudiology services for rehabilitation with hearing aids to support their implementation into clinical practice.
本综述考察了(a)当前关于远程听力学应用于成人听力障碍助听康复的研究证据,以及(b)这些证据是否足以支持将其转化为常规临床实践。
采用搜索策略和纳入标准,纳入专门涉及听力障碍成人康复的助听器适配和随访程序的文章,这些服务由远程听力学临床医生提供。使用关键字和医学主题词(MeSH)在主要索引健康相关研究的电子数据库中进行搜索。使用经过验证的评估工具评估纳入研究的方法学质量、证据水平和应用于实践的推荐等级。
确定了 14 项符合本综述范围的研究。评估工具显示,这些研究均未表现出较强的方法学质量或较高的证据水平。证据分析确定了 19 项活动,这些活动被分为服务结果类别,包括可行性、障碍、效率、质量和效果。可以针对以下方面提出建议:(a)远程听力学在听力损失康复中使用助听器的可行性;(b)障碍;(c)效率。
本综述为新的和有经验的助听器使用者在不同实践环境中提供了远程听力学助听器服务的最新证据。研究结果为加强循证实践指明了未来的研究重点。需要进一步研究远程听力学服务的许多方面,以支持其在临床实践中的应用。